“TriMed Road Show” Symposium on Periarticular Fracture Therapy (Shanghai)
Time: 2019-08-16 13:00
Location: The meeting room in 1st floor of Orthopedic building in The Sixth Hospital in Shanghai
Host: Professor. Chai Yimin
Lecturers: Professor Robert Medoff, Professor Wang Qiugen
Translator: Doctor Rui Biyu
Professor. Chai Yimin was making the opening speech
In the afternoon of Aug.16.2019, “the First Study Class of Internal Fixation for Periarticular Fracture in The Sixth Hospital in Shanghai” was opened in the meeting room in 1st floor of Orthopedic building in The Sixth Hospital in Shanghai. More than 50 orthopedic surgeons from hospitals across the country participated. The opening ceremony of the study class was hosted by Professor Chai Yimin who also made the welcome speech. At the meantime, he welcomed and thanked for the guest lecturer- Professor Robert Medoff, director of orthopedics, royal Hawaii medical center.
The conference site
For the first course, Professor Robert Medoff reviewed some knowledge of imaging of distal radius fractures and shared some valuable clinical cases files that he encountered during his many years of clinical work, illustrating the importance of body position and X-ray film reading techniques in guiding clinical treatment.
Professor Robert Medoff was sharing the DRF image knowledge.
In the second session, Professor Wang Qiugen talked about the treatment of the edge shear fractures in distal radius and comminuted fractures, as well as some difficulties that still existed in clinical practice. For example, for the treatment of ultra-distal comminuted fracture, due to the lack of tools and means, we had to choose some relatively lagging surgical methods, so it was difficult to achieve satisfactory results in treatment.
Professor Wang Qiugen mentioned TriMed’s internal fixation system in distal radius.
With respect to the difficulties mentioned by Professor Wang Qiugen, Professor Robert Medoff put forward a perfect solution in TriMed’s fixation system established by him. This improved method had been included in “Campbell orthopedic surgery” and “Green hand surgery”, becoming the model of periarticular fracture treatment in the United States.
Professor Robert Medoff was teaching TriMed’s internal fixation system.
In the end, it was the distal radius SawBone link. Three operation groups were formed. First, Professor Robert Medoff demonstrated the specific fixation method of TriMed internal fixation system for distal radius fracture. The atmosphere was very warm, and all the doctors showed a strong desire to learn.
Professor Robert Medoff was demonstrating with the SawBone.
So far, “The First Study Class of Internal Fixation for Periarticular Fracture in The Sixth Hospital in Shanghaihas” came to a perfect end. Tomorrow, Professor Shi Zhongmin, member of the foot and ankle study group of the orthopedics branch in Chinese Medical Association, would share the topic of ankle fracture. Look forward to it!
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“TriMed Road Show” Symposium on Periarticular Fracture Therapy (Shanghai)
Time: 2019-08-17 08:00
Location: The meeting room in 1st floor of Orthopedic building in The Sixth Hospital in Shanghai
Host: Professor. Shi Zhongmin
Special guest: Professor Zeng Bingfang
Lecturers: Professor Robert Medoff, Professor Rui Biyu
Translator: Doctor Zou Jian
Professor Shi Zhongmin was making the opening speech
The second session of “The Study Class of Internal Fixation for Periarticular Fracture in The Sixth Hospital in Shanghai” began at 8:00 in the morning of Aug.17, 2019. The attending teachers arrived in advance. Professor Shi Zhongmin, foot and ankle study group member, orthopaedic branch of the Chinese medical association, and the host of this conference made the opening speech. He welcomed Professor Robert Medoff and announced the beginning of the meeting today.
Professor Robert Medoff reviewed the AO core concept with everyone.
During the first link of the conference, Professor Robert Medoff reviewed the AO theory basic knowledge for treating orthopedic fractures. We all knew the four principles of AO: anatomical reduction, strong fixation, protection of blood supply, early active exercise. Professor Robert Medoff believed that the concept of AO was very good for the treatment of long shaft bone fractures. For the fixation of these fractures, there were some important factors, including the fixation on the tension side and the use of screw holding force, etc. In the fixation of long shaft bone, the steel plate should have sufficient length and strength.
Professor Robert Medoff shared the design inspiration for TriMed’s internal fixation system
According to the AO manual, the use of a lag screw was a very important step. It was used to resist the shearing and twisting force of the bone fragments, and it should not be screwed too tightly, or the fixation would fail. As for comminuted fracture, or osteoporosis, how to fix it? A lag screw needed to be strong enough on the opposite side of the cortex, but there were some occasions that the opposite side of the bone was so small that there was no bone left, so there was not enough space for the lag screw. Similarly, we cannot use some large plates either. Therefore, Professor Robert Medoff found that the treatment concept of periarticular fractures was different from that of general fractures, so new fixation methods must be considered to eliminate the dependence on screw holding force. The feline, for example, had long canine teeth that allow them to grip their prey tightly, so he designed and invented HOOK plates. The sled plates were designed and invented based on the iron hoop on the outside of the whisky barrel, which was associated with the arch of Rome. The pin at the distal end of the radial column pin plate was small and had a very low height, but why was it powerfully supported? This was because using the suspension bridge principle. Your mind can't always be tied to the idea of AO.
Director Li Enchao from Jen Ching Memorial Hospital attended the discussion.
Director Li Enchao from Jen Ching Memorial Hospital put forward a question: Should the TriMed sindwinder plate be placed on the periosteum or under the periosteum after dissection? Professor Robert Medoff answered: After a small amount of dissection, the steel plate should be attached, and the front and rear positions of the steel plate on the fibula should be confirmed under direct sight, and the fracture end can be reduced by clamping with reduction forceps, without too much periosteal dissection, so as to avoid affecting the fracture healing.
Professor Shi Zhongmin made the summary speech.
Professor Shi Zhongmin made the summary speech: What we all received the fracture treatment education was first reduction fracture, then temporary fixation, finally put on the plate, screw, and this set of fixed procedure. However, what we heard today was different from the original. TriMed internal fixation system used steel plate to reduce the fracture and then used screws to fix it. You should follow the new concept when using TriMed internal fixation system to treat periarticular fractures, so as to achieve a satisfactory reduction effect.
Professor Robert Medoff was demonstrating with the SawBone.
At last, it was the SawBone link of the ankle. After professor Robert Medoff demonstrated the specific fixation method of the TriMed internal fixation system for the ankle joint, each operation group practiced actively.
Doctor Rui Biyu was teaching.
After a short break, the second session of “The Study Class of Internal Fixation for Periarticular Fracture in The Sixth Hospital in Shanghai” began at 13:00. Doctor Rui Biyu shared with us the treatment of complex fracture dislocation and instability of the elbow.
The application of TriMed’s distal radius volar pin plate on the head of radius
The innovative application of TriMed products brought by Professor Robert Medoff in the fracture of the elbow joint was demonstrated. One of the cases was "the extension application of the distal volar plate on the fracture of the radius head". The postoperative recovery of the patient was very good. Joint stability and mobility were not affected. It left a deep impression on everyone.
Professor Zeng Bingfang made the summary speech.
Finally, Professor Zeng Bingfang, a highly respected professor, gave a speech at the closing ceremony of the conference. Professor Zeng spoke highly of the organization and effect of the conference, and expressed his gratitude to KingSung medical group for carefully arranged the zero-distance communication opportunity with Professor Robert Medoff. Professor Zeng said the concept was more important than technology. In clinical work, as long as you followed the same operating philosophy, and strengthened the practice, it would have better treatment effect on the patients. He also warmly invited Professor Robert Medoff in the near future, to visit China again to test our operation result. Professor Robert Medoff was also expected to bring more advanced ideas and technology achievements!
Professor Zeng Bingfang, Professor Robert Medoff and everyone took a picture to mark the occasion.
“The Study Class of Internal Fixation for Periarticular Fracture in The Sixth Hospital in Shanghai” was successfully ended with the warm applause. The attendees felt the new concept of specific fixation of bone blocks and a new trauma orthopedics technology. TriMed will subvert the concept of fixation of complex fractures around joints, pursuing precise medical treatment and benefiting patients!
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